UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF FLORIDA PETITION FOR ADMISSION TO THE BAR
I. Attorney Information: _____________________________ Bar Number & State of Issuance _____________________________ Attorney E-Mail Address
________________________________________ Last Name First Name Middle Name ________________________________________ Firm Name
_____________________________________________________________________________ Firm Physical Address City Zip Code _____________________________________________________________________________ Firm Mailing Address (i.e. P.O. Box) City Zip Code ________________________________________ Main Office Phone Number Extension _____________________________ Main Office Fax Number
II.
Completion of Tutorials
Both tutorials are required by ND/FL L.R. 11.1(A). No waiver or exceptions will be allowed.
_______ I have completed the following tutorials: On-line local rules tutorial Date tutorial completed: Confirmation Number: CM/ECF Tutorial Date tutorial completed:
III.
Bar Membership Credentials:
I am admitted to practice before the following courts (attach separate list if needed): (A.) (B.) (C.) (D.) (E.) _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ Date Admitted _______________________ Date Admitted _______________________ Date Admitted _______________________ Date Admitted _______________________ Date Admitted _______________________
IV.
Request for Expedited Petition If there is cause for your petition to be processed within 1- 3 working days of receipt by the Clerk's Office, please indicate below. (Petitions are normally processed within 7 working days.) Please expedite my petition. Reason: ______________________________________________________________ _____________________________________________________________________ ____________________________________________________________________ Attachments to the Petition: Attach an original certificate of Good Standing from the Florida Bar or the state bar in which you are a member. The certificate of Good Standing should be dated within thirty (30) days of the date of the submitted petition. Attach the admission fee of $170.00 payable to Clerk, U.S. District Court. $20.00 of this fee will be deposited into the Federal Bench and Bar Fund of the Court.
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V. a.
b.
Under penalty of perjury and subject to the provisions of the special rules governing the admission I hereby apply for admission to practice in the United States District Court for the Northern District of Florida.
________________________________________ Signature
_____________________________ Date
Please return the completed application to: Clerk, U.S. District Court Attn: Attorney Admissions 30 West Government Street Panama City, FL 32401 ***Once you receive your email notice of admission to the Northern District of Florida bar, you should register for a login for Electronic Case Filing (CM/ECF). Please refer to the CM/ECF tab on our web site at www.flnd.uscourts.gov. Your admission to the bar does not automatically enroll you for electronic case filing. That is an on-line request , and must be submitted separately. *** (AttyApp1/2007)